Allot Healthcare Services York improved its safe rating to Good with safer medicines management, recruitment and safeguarding practices. However, well-led remained Requires improvement due to quality assurance systems failing to identify shortfalls and inconsistent records of actions taken following incidents.
Concerns (5)
moderateGovernance: “Quality assurance systems in place had not identified or addressed shortfalls identified during inspection. This included concerns relating to medicines and inconsistency of information”
moderateIncident learning: “Systems in place to support learning from accidents and incidents contained appropriate information, however they did not always clearly show actions taken to reduce the risk of reoccurrence.”
moderate
Record keeping
: “The provider had systems in place to review accidents and incidents. Records relating to actions taken were not always available.”
minorMedication management: “we did identify one person who received 'as and when' required medicine that was not administered as prescribed. The provider addressed this during inspection.”
minorCommunication with families: “the service sought feedback for concerns raised by staff, however, this feedback was not always shared with staff following the concern being raised.”
Strengths
· People felt safe with staff and risk assessments were regularly reviewed
· Staff had received safeguarding training and were confident in reporting concerns
· Robust recruitment checks including DBS were completed
· Medicines were generally managed safely with staff competency assessments
· Effective infection prevention and control measures with PPE and COVID-19 testing
Quality-Statement breakdown (9)
safe: Assessing risk, safety monitoring and management; Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Staffing and recruitmentGood
safe: Learning lessons when things go wrongGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: Engaging and involving people using the service, the public and staffRequires improvement
well-led: Duty of candour and working in partnership with othersRequires improvement